Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice

Autores
Wolf, Dennis; Hohmann, Jan David; Wiedemann, Ansgar; Bledzka, Kamila; Blankenbach, Hermann; Marchini, Timoteo Oscar; Gutte, Katharina; Zeschky, Katharina; Bassler, Nicole; Hoppe, Natalie; Rodriguez, Alexandra Ortiz; Herr, Nadine; Hilgendorf, Ingo; Stachon, Peter; Willecke, Florian; Duerschmied, Daniel; von zur Muhlen, Constantin; Soloviev, Dmitry A.; Zhang, Li; Bode, Christoph; Plow, Edward F.; Libby, Peter; Peter, Karlheinz; Zirlik, Andreas
Año de publicación
2011
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Rationale: CD40L figures prominently in chronic inflammatory diseases such as atherosclerosis. However, since CD40L potently regulates immune function and hemostasis by interaction with CD40 receptor and the platelet integrin GPIIb/IIIa, its global inhibition compromises host defense and generated thromboembolic complications in clinical trials. We recently reported that CD40L mediates atherogenesis independently of CD40 and proposed Mac-1 as an alternate receptor. Objective: Here, we molecularly characterized the CD40L-Mac-1 interaction and tested whether its selective inhibition by a small peptide modulates inflammation and atherogenesis in vivo. Methods and Results: CD40L concentration-dependently bound to Mac-1 I-domain in solid phase binding assays, and a high-affinity interaction was revealed by surface-plasmon-resonance analysis. We identified the motif EQLKKSKTL, an exposed loop between the α1 helix and the β-sheet B, on Mac-1 as binding site for CD40L. A linear peptide mimicking this sequence, M7, specifically inhibited the interaction of CD40L and Mac-1. A cyclisized version optimized for in vivo use, cM7, decreased peritoneal inflammation and inflammatory cell recruitment in vivo. Finally, LDLr -/- mice treated with intraperitoneal injections of cM7 developed smaller, less inflamed atherosclerotic lesions featuring characteristics of stability. However, cM7 did not interfere with CD40L-CD40 binding in vitro and CD40L-GPIIb/IIIa-mediated thrombus formation in vivo. Conclusions: We present the novel finding that CD40L binds to the EQLKKSKTL motif on Mac-1 mediating leukocyte recruitment and atherogenesis. Specific inhibition of CD40L-Mac-1 binding may represent an attractive anti-inflammatory treatment strategy for atherosclerosis and other inflammatory conditions, potentially avoiding the unwanted immunologic and thrombotic effects of global inhibition of CD40L.
Fil: Wolf, Dennis. Albert-Ludwigs-Universität Freiburg; Alemania. Baker IDI Heart and Diabetes Institute; Australia
Fil: Hohmann, Jan David. Baker IDI Heart and Diabetes Institute; Australia
Fil: Wiedemann, Ansgar. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Bledzka, Kamila. Cleveland Clinic. Department of Molecular Cardiology; Estados Unidos
Fil: Blankenbach, Hermann. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Marchini, Timoteo Oscar. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Bioquímica y Medicina Molecular. Universidad de Buenos Aires. Facultad Medicina. Instituto de Bioquímica y Medicina Molecular; Argentina. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Gutte, Katharina. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Zeschky, Katharina. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Bassler, Nicole. Baker IDI Heart and Diabetes Institute; Australia
Fil: Hoppe, Natalie. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Rodriguez, Alexandra Ortiz. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Herr, Nadine. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Hilgendorf, Ingo. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Stachon, Peter. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Willecke, Florian. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Duerschmied, Daniel. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: von zur Muhlen, Constantin. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Soloviev, Dmitry A.. Cleveland Clinic. Department of Molecular Cardiology; Estados Unidos
Fil: Zhang, Li. University of Maryland; Estados Unidos
Fil: Bode, Christoph. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Plow, Edward F.. Cleveland Clinic. Department of Molecular Cardiology; Estados Unidos
Fil: Libby, Peter. Harvard Medical School; Estados Unidos
Fil: Peter, Karlheinz. Baker IDI Heart and Diabetes Institute; Australia
Fil: Zirlik, Andreas. Albert-Ludwigs-Universität Freiburg; Alemania
Materia
Atherosclerosis
Cd40l
Inflammation
Mac-1
Peptide Inhibitor
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/67807

id CONICETDig_f5b9de1fb719598fd2031b55f9230f81
oai_identifier_str oai:ri.conicet.gov.ar:11336/67807
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in miceWolf, DennisHohmann, Jan DavidWiedemann, AnsgarBledzka, KamilaBlankenbach, HermannMarchini, Timoteo OscarGutte, KatharinaZeschky, KatharinaBassler, NicoleHoppe, NatalieRodriguez, Alexandra OrtizHerr, NadineHilgendorf, IngoStachon, PeterWillecke, FlorianDuerschmied, Danielvon zur Muhlen, ConstantinSoloviev, Dmitry A.Zhang, LiBode, ChristophPlow, Edward F.Libby, PeterPeter, KarlheinzZirlik, AndreasAtherosclerosisCd40lInflammationMac-1Peptide Inhibitorhttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Rationale: CD40L figures prominently in chronic inflammatory diseases such as atherosclerosis. However, since CD40L potently regulates immune function and hemostasis by interaction with CD40 receptor and the platelet integrin GPIIb/IIIa, its global inhibition compromises host defense and generated thromboembolic complications in clinical trials. We recently reported that CD40L mediates atherogenesis independently of CD40 and proposed Mac-1 as an alternate receptor. Objective: Here, we molecularly characterized the CD40L-Mac-1 interaction and tested whether its selective inhibition by a small peptide modulates inflammation and atherogenesis in vivo. Methods and Results: CD40L concentration-dependently bound to Mac-1 I-domain in solid phase binding assays, and a high-affinity interaction was revealed by surface-plasmon-resonance analysis. We identified the motif EQLKKSKTL, an exposed loop between the α1 helix and the β-sheet B, on Mac-1 as binding site for CD40L. A linear peptide mimicking this sequence, M7, specifically inhibited the interaction of CD40L and Mac-1. A cyclisized version optimized for in vivo use, cM7, decreased peritoneal inflammation and inflammatory cell recruitment in vivo. Finally, LDLr -/- mice treated with intraperitoneal injections of cM7 developed smaller, less inflamed atherosclerotic lesions featuring characteristics of stability. However, cM7 did not interfere with CD40L-CD40 binding in vitro and CD40L-GPIIb/IIIa-mediated thrombus formation in vivo. Conclusions: We present the novel finding that CD40L binds to the EQLKKSKTL motif on Mac-1 mediating leukocyte recruitment and atherogenesis. Specific inhibition of CD40L-Mac-1 binding may represent an attractive anti-inflammatory treatment strategy for atherosclerosis and other inflammatory conditions, potentially avoiding the unwanted immunologic and thrombotic effects of global inhibition of CD40L.Fil: Wolf, Dennis. Albert-Ludwigs-Universität Freiburg; Alemania. Baker IDI Heart and Diabetes Institute; AustraliaFil: Hohmann, Jan David. Baker IDI Heart and Diabetes Institute; AustraliaFil: Wiedemann, Ansgar. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Bledzka, Kamila. Cleveland Clinic. Department of Molecular Cardiology; Estados UnidosFil: Blankenbach, Hermann. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Marchini, Timoteo Oscar. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Bioquímica y Medicina Molecular. Universidad de Buenos Aires. Facultad Medicina. Instituto de Bioquímica y Medicina Molecular; Argentina. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Gutte, Katharina. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Zeschky, Katharina. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Bassler, Nicole. Baker IDI Heart and Diabetes Institute; AustraliaFil: Hoppe, Natalie. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Rodriguez, Alexandra Ortiz. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Herr, Nadine. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Hilgendorf, Ingo. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Stachon, Peter. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Willecke, Florian. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Duerschmied, Daniel. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: von zur Muhlen, Constantin. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Soloviev, Dmitry A.. Cleveland Clinic. Department of Molecular Cardiology; Estados UnidosFil: Zhang, Li. University of Maryland; Estados UnidosFil: Bode, Christoph. Albert-Ludwigs-Universität Freiburg; AlemaniaFil: Plow, Edward F.. Cleveland Clinic. Department of Molecular Cardiology; Estados UnidosFil: Libby, Peter. Harvard Medical School; Estados UnidosFil: Peter, Karlheinz. Baker IDI Heart and Diabetes Institute; AustraliaFil: Zirlik, Andreas. Albert-Ludwigs-Universität Freiburg; AlemaniaAmerican Heart Association2011-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/67807Wolf, Dennis; Hohmann, Jan David; Wiedemann, Ansgar; Bledzka, Kamila; Blankenbach, Hermann; et al.; Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice; American Heart Association; Circulation Research; 109; 11; 11-2011; 1269-12790009-7330CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1161/CIRCRESAHA.111.247684info:eu-repo/semantics/altIdentifier/url/https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.111.247684info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:00:20Zoai:ri.conicet.gov.ar:11336/67807instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:00:20.284CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
title Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
spellingShingle Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
Wolf, Dennis
Atherosclerosis
Cd40l
Inflammation
Mac-1
Peptide Inhibitor
title_short Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
title_full Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
title_fullStr Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
title_full_unstemmed Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
title_sort Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice
dc.creator.none.fl_str_mv Wolf, Dennis
Hohmann, Jan David
Wiedemann, Ansgar
Bledzka, Kamila
Blankenbach, Hermann
Marchini, Timoteo Oscar
Gutte, Katharina
Zeschky, Katharina
Bassler, Nicole
Hoppe, Natalie
Rodriguez, Alexandra Ortiz
Herr, Nadine
Hilgendorf, Ingo
Stachon, Peter
Willecke, Florian
Duerschmied, Daniel
von zur Muhlen, Constantin
Soloviev, Dmitry A.
Zhang, Li
Bode, Christoph
Plow, Edward F.
Libby, Peter
Peter, Karlheinz
Zirlik, Andreas
author Wolf, Dennis
author_facet Wolf, Dennis
Hohmann, Jan David
Wiedemann, Ansgar
Bledzka, Kamila
Blankenbach, Hermann
Marchini, Timoteo Oscar
Gutte, Katharina
Zeschky, Katharina
Bassler, Nicole
Hoppe, Natalie
Rodriguez, Alexandra Ortiz
Herr, Nadine
Hilgendorf, Ingo
Stachon, Peter
Willecke, Florian
Duerschmied, Daniel
von zur Muhlen, Constantin
Soloviev, Dmitry A.
Zhang, Li
Bode, Christoph
Plow, Edward F.
Libby, Peter
Peter, Karlheinz
Zirlik, Andreas
author_role author
author2 Hohmann, Jan David
Wiedemann, Ansgar
Bledzka, Kamila
Blankenbach, Hermann
Marchini, Timoteo Oscar
Gutte, Katharina
Zeschky, Katharina
Bassler, Nicole
Hoppe, Natalie
Rodriguez, Alexandra Ortiz
Herr, Nadine
Hilgendorf, Ingo
Stachon, Peter
Willecke, Florian
Duerschmied, Daniel
von zur Muhlen, Constantin
Soloviev, Dmitry A.
Zhang, Li
Bode, Christoph
Plow, Edward F.
Libby, Peter
Peter, Karlheinz
Zirlik, Andreas
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Atherosclerosis
Cd40l
Inflammation
Mac-1
Peptide Inhibitor
topic Atherosclerosis
Cd40l
Inflammation
Mac-1
Peptide Inhibitor
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Rationale: CD40L figures prominently in chronic inflammatory diseases such as atherosclerosis. However, since CD40L potently regulates immune function and hemostasis by interaction with CD40 receptor and the platelet integrin GPIIb/IIIa, its global inhibition compromises host defense and generated thromboembolic complications in clinical trials. We recently reported that CD40L mediates atherogenesis independently of CD40 and proposed Mac-1 as an alternate receptor. Objective: Here, we molecularly characterized the CD40L-Mac-1 interaction and tested whether its selective inhibition by a small peptide modulates inflammation and atherogenesis in vivo. Methods and Results: CD40L concentration-dependently bound to Mac-1 I-domain in solid phase binding assays, and a high-affinity interaction was revealed by surface-plasmon-resonance analysis. We identified the motif EQLKKSKTL, an exposed loop between the α1 helix and the β-sheet B, on Mac-1 as binding site for CD40L. A linear peptide mimicking this sequence, M7, specifically inhibited the interaction of CD40L and Mac-1. A cyclisized version optimized for in vivo use, cM7, decreased peritoneal inflammation and inflammatory cell recruitment in vivo. Finally, LDLr -/- mice treated with intraperitoneal injections of cM7 developed smaller, less inflamed atherosclerotic lesions featuring characteristics of stability. However, cM7 did not interfere with CD40L-CD40 binding in vitro and CD40L-GPIIb/IIIa-mediated thrombus formation in vivo. Conclusions: We present the novel finding that CD40L binds to the EQLKKSKTL motif on Mac-1 mediating leukocyte recruitment and atherogenesis. Specific inhibition of CD40L-Mac-1 binding may represent an attractive anti-inflammatory treatment strategy for atherosclerosis and other inflammatory conditions, potentially avoiding the unwanted immunologic and thrombotic effects of global inhibition of CD40L.
Fil: Wolf, Dennis. Albert-Ludwigs-Universität Freiburg; Alemania. Baker IDI Heart and Diabetes Institute; Australia
Fil: Hohmann, Jan David. Baker IDI Heart and Diabetes Institute; Australia
Fil: Wiedemann, Ansgar. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Bledzka, Kamila. Cleveland Clinic. Department of Molecular Cardiology; Estados Unidos
Fil: Blankenbach, Hermann. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Marchini, Timoteo Oscar. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Bioquímica y Medicina Molecular. Universidad de Buenos Aires. Facultad Medicina. Instituto de Bioquímica y Medicina Molecular; Argentina. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Gutte, Katharina. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Zeschky, Katharina. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Bassler, Nicole. Baker IDI Heart and Diabetes Institute; Australia
Fil: Hoppe, Natalie. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Rodriguez, Alexandra Ortiz. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Herr, Nadine. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Hilgendorf, Ingo. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Stachon, Peter. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Willecke, Florian. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Duerschmied, Daniel. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: von zur Muhlen, Constantin. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Soloviev, Dmitry A.. Cleveland Clinic. Department of Molecular Cardiology; Estados Unidos
Fil: Zhang, Li. University of Maryland; Estados Unidos
Fil: Bode, Christoph. Albert-Ludwigs-Universität Freiburg; Alemania
Fil: Plow, Edward F.. Cleveland Clinic. Department of Molecular Cardiology; Estados Unidos
Fil: Libby, Peter. Harvard Medical School; Estados Unidos
Fil: Peter, Karlheinz. Baker IDI Heart and Diabetes Institute; Australia
Fil: Zirlik, Andreas. Albert-Ludwigs-Universität Freiburg; Alemania
description Rationale: CD40L figures prominently in chronic inflammatory diseases such as atherosclerosis. However, since CD40L potently regulates immune function and hemostasis by interaction with CD40 receptor and the platelet integrin GPIIb/IIIa, its global inhibition compromises host defense and generated thromboembolic complications in clinical trials. We recently reported that CD40L mediates atherogenesis independently of CD40 and proposed Mac-1 as an alternate receptor. Objective: Here, we molecularly characterized the CD40L-Mac-1 interaction and tested whether its selective inhibition by a small peptide modulates inflammation and atherogenesis in vivo. Methods and Results: CD40L concentration-dependently bound to Mac-1 I-domain in solid phase binding assays, and a high-affinity interaction was revealed by surface-plasmon-resonance analysis. We identified the motif EQLKKSKTL, an exposed loop between the α1 helix and the β-sheet B, on Mac-1 as binding site for CD40L. A linear peptide mimicking this sequence, M7, specifically inhibited the interaction of CD40L and Mac-1. A cyclisized version optimized for in vivo use, cM7, decreased peritoneal inflammation and inflammatory cell recruitment in vivo. Finally, LDLr -/- mice treated with intraperitoneal injections of cM7 developed smaller, less inflamed atherosclerotic lesions featuring characteristics of stability. However, cM7 did not interfere with CD40L-CD40 binding in vitro and CD40L-GPIIb/IIIa-mediated thrombus formation in vivo. Conclusions: We present the novel finding that CD40L binds to the EQLKKSKTL motif on Mac-1 mediating leukocyte recruitment and atherogenesis. Specific inhibition of CD40L-Mac-1 binding may represent an attractive anti-inflammatory treatment strategy for atherosclerosis and other inflammatory conditions, potentially avoiding the unwanted immunologic and thrombotic effects of global inhibition of CD40L.
publishDate 2011
dc.date.none.fl_str_mv 2011-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/67807
Wolf, Dennis; Hohmann, Jan David; Wiedemann, Ansgar; Bledzka, Kamila; Blankenbach, Hermann; et al.; Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice; American Heart Association; Circulation Research; 109; 11; 11-2011; 1269-1279
0009-7330
CONICET Digital
CONICET
url http://hdl.handle.net/11336/67807
identifier_str_mv Wolf, Dennis; Hohmann, Jan David; Wiedemann, Ansgar; Bledzka, Kamila; Blankenbach, Hermann; et al.; Binding of CD40L to Mac-1's i-domain involves the EQLKKSKTL motif and mediates leukocyte recruitment and atherosclerosis-but does not affect immunity and thrombosis in mice; American Heart Association; Circulation Research; 109; 11; 11-2011; 1269-1279
0009-7330
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1161/CIRCRESAHA.111.247684
info:eu-repo/semantics/altIdentifier/url/https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.111.247684
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv American Heart Association
publisher.none.fl_str_mv American Heart Association
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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